23.11 Phytonadione (Vitamin K) for Newborn

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OB Medications (Cheat Sheet)

Vitamin K1 (Phytonadione) (Picmonic)

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Outline

Overview

IM injection given shortly after birth
Also known as Vitamin K

Nursing Points

General

Why it’s routinely given: Newborns are born without coagulation factors
This is given to prevent any hemorrhagic disorders that may result, as newborns are deficient in vitamin K at birth.

Assessment

Monitor for bleeding

Therapeutic Management

Given IM
1. Administer IM injection in thigh (vastus lateralis)
  1. Hold them tight because they’ll move!
Given 1 hr after birth
1. Remember skin to skin time with mother is priority, this can be given after the Golden Hour

Nursing Concepts

Pharmacology
Clotting

Patient Education

Purpose
Vitamin not vaccine
Risks if they do not receive it

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